Exited Delirium Syndrome (W13)

Question 1

What is best for someone suffering from Excited Delirium Syndrome

Answer 1

Fast termination of severe agitation

Question 2

EDS is thought to be associated with what

Answer 2

The dysregulation of dopamine

Question 3

What can increased dopamine do to the body

Answer 3

Aggression, paranoia, tachycardia, tachypnea, hyperthermia (hallmark symptom!)

Question 4

Is associated with the use most commonly of what drug

Answer 4

Cocaine (blocks the re-uptake of dopamine)

Question 5

Hyperthermia is caused by

Answer 5

Increased dopamine and stimulant effect = increase in metabolic activity which can cause hyperthermia

Question 6

Sudden death in EDS can be caused by

Answer 6

Metabolic acidosis which can cause hyperkalemia and dysrhythmias, resulting in the potential for sudden death

Question 7

Rhabdomyolysis can be caused by

Answer 7

Increased muscle activity and aggression exacerbation while attempting to restrain, increasing creatinine phosphokinase

Question 8

Presentation (NOT A CRIME)

Answer 8

Pt is NAKED and sweating due to hyperthermia
Pt is violent against OBJECTS, in particular glass
Pt is TOUGH and basically a superhuman

ACUTE onset

CONFUSED
RESISTANT
INCOHERENT
MENTAL health conditions make you uncomfortable
EARLY backup is key for EMS

Question 9

Why is less restraints early on is important for pt w EDS

Answer 9

Arrest is almost always fatal so restrain ASAP, restrain pt w as little as possible bc more will increase CBT and acidosis

Question 10

What is the optimal drug use for EDS and why

Answer 10

Ketamine: quick acting, more predicable in uncontrolled environment

Question 11

If ACP is unavailable what do you do

Answer 11

Transport ASAP!!